Term
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Definition
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Term
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Definition
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Term
Lopressor (metoprolol)
classification |
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Definition
| antihypertensive/beta blocker |
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Term
Lopressor (metoprolol)
usual dosage & route |
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Definition
| 25-100mg PO qday in 1-2divided doses |
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Term
Lopressor (metoprolol)
dosage/route/frequency |
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Definition
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Term
Lopressor (metoprolol)
reason why PT on this Rx |
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Definition
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Term
Lopressor (metoprolol)
how does the Rx work |
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Definition
| blocks stimulation of beta-adrenergic receptors, dec. BP and HR |
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Term
Lopressor (metoprolol)
side effects |
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Definition
Bradycardia
CHF
pulmonary edema
fatigure
weakness
erectile dysfunction (ed)
hypotension |
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Term
Lopressor (metoprolol)
Nursing actions |
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Definition
assess BP & Pulse
monitor I&O
Wt. changes
s/s CHF (dyspnea, crackles, WT gain, peripheral edema, JVD. |
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Term
Lopressor (metoprolol)
Pt. teaching on Rx |
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Definition
Rx name
purpose
dosage, frequency
assessing BP and Pulse
change positions slowly
notify MD for s/s of CHF
limit intake of caffeinated drinks. |
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Term
Lopressor (metoprolol)
Rx that may interact with Lopressor |
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Definition
Lasix --> hypotension
Digoxin - bradycardia |
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Term
| Lopressor (metoprolol): onset |
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Definition
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Term
| Lopressor (metoprolol): peak |
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Definition
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Term
| Lopressor (metoprolol): duration |
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Definition
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Term
| Lopressor (metoprolol): haft life |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| antiarrhythmics, intropics (affects the force of muscle contraction in heart) |
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Term
usual dosage range for route
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Definition
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Term
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Definition
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Term
why is this client receiving this medication? |
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Definition
| CHF (chronic heart failure) |
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Term
how does this medication work? |
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Definition
| increases force of cardial contraction, increase cardiac output and slowing of the heart rate |
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Term
what side effects are most likely to occur secondary to this medication? |
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Definition
- fatigue
- headache
- weakness
- blurred vision
- bradycardia (decrease BP)
- N&V
- diarrhea
- electrolyte imbalance
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Term
what actions do i as a nurse need to take specific to this medication? (including adverse reactions I need to be aware of) |
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Definition
- Monitor apical pulse for 1 full minute before administration
- Withold dose and notify MD if pulse rate is <60 bpm
- Monitor I&O
- Monitor BP
- Monitor Electrolytes (K, Mg, Ca)
- Withold if K low, Mg low, Ca high= digitalis toxicity
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Term
what do i as a nurse need to teach the client about this medication? |
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Definition
- drug name, purpose, dose, frequency
- notify MD s/s of toxcity, such as abdominal pain, anorexia, nausea, vomitting, visual disturbances, bradycardia and other arrhythmias
- notify MD s/s of CHF
- Instruct patient to take medication as directed, the same time each day.
- Teach patient to take pulse and contact MD before taking med if pulse rate is <60 or >100
- Avoid taking antacids or antidiarrheals within 2 hr of digoxin
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Term
what other medications is the client taking that may interact with/alter the action of this medication? |
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Definition
- lasix- hypokalemia (decrease K)= toxcity
- lopressor- bradycardia
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Term
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Definition
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Term
onset, peak, and duration- PO |
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Definition
- onset= 30-120 minutes
- peak= 2-8 hours
- duration= 2-4 days
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Term
onset, duration, peak- IM |
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Definition
onset= 30 minutes
peak= 4-6 hours
duration= 2-4 days
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Term
onset, peak, duration- IV |
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Definition
- onset= 5-30minutes
- peak=1-4 hours
- duration= 2-4 days
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